Brian Wally, DPT
NPI 1053760157 · Physical Therapist · Glastonbury, CT
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Wally, DPT is a Physical Therapist provider in Glastonbury, CT (NPI 1053760157).
Provider details
- NPI number
- 1053760157
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT4733 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
3,167 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,042 | $24 |
| Therapy Procedure for Walking Training, Each 15 Minutes97116 | 805 | $23 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 718 | $30 |
| Therapy Procedure Using Functional Activities97530 | 315 | $35 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 257 | $21 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 30 | $104 |
Practice location
Mailing address
Additional practice locations (1)
- 94 Main StGorham, ME 04038-1340Phone: (207) 839-5860Fax: (207) 839-2499
Registry dates
- Enumerated
- 2016-06-09
- Last updated
- 2021-06-22
- Certified
- 2021-06-22
Frequently asked questions
- What is Brian Wally's NPI number?
- Brian Wally's National Provider Identifier (NPI) is 1053760157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Wally's specialty?
- Brian Wally is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Brian Wally located?
- Brian Wally's practice location on file with NPPES is 2520 Main St Ste 2, Glastonbury, CT 06033-4250.
- What is Brian Wally's phone number?
- The practice phone number listed in the NPPES registry for Brian Wally is (860) 430-8383.
- Does Brian Wally accept Medicare?
- Brian Wally is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Wally's NPI active?
- Yes — Brian Wally's NPI (1053760157) is active in the NPPES registry as of the last update on 2021-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.